Kenora Borealis Multisport Membership Renewal Form
It is time to renew your Borealis Membership! Upon payment of your membership you will receive your tickets for the Kenora Recreation Centre and MVMNT Yoga Studio
Last Name *
First Name *
Mailing Address *
Email address *
Date of Birth *
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DD
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Contact Number (please include area code) *
Emergency Contact Person *
Emergency Contact Number (please include area code) *
Medical History/Allergies/Medications
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